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Pennsylvania rates for HCPCS 72148

Mri Spinal Canal Lumbar W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.77 / $105.21 / $241.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.92 / $475.00 / $1,266.70
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.68 / $126.00 / $271.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$98.17 / $200.00 / $237.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.87 / $299.00 / $492.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.96 / $146.66 / $184.39
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.15 / $68.14 / $115.63
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.19 / $146.94 / $184.34
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.94 / $288.52 / $1,089.82
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.38 / $94.52 / $2,461.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.20 / $335.86 / $920.06
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.98 / $114.14 / $172.73
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$156.58 / $217.72 / $788.64
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.59 / $80.59 / $80.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.08 / $382.16 / $786.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.21 / $86.19 / $141.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.70 / $297.50 / $666.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.39 / $299.92 / $1,287.10
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.79 / $92.18 / $145.44
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.90 / $176.64 / $251.59
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.72 / $236.46 / $462.88
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.40 / $86.79 / $123.08
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$40.76 / $40.76 / $196.29
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$179.02 / $221.02 / $222.94
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.21 / $281.81 / $576.00
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.73 / $89.68 / $2,461.39
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.22 / $103.27 / $249.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.92 / $425.00 / $1,355.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.68 / $126.00 / $269.64
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$98.96 / $200.00 / $518.50
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.70 / $282.87 / $663.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.88 / $192.60 / $541.00
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.77 / $80.59 / $80.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.48 / $378.27 / $765.50
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $85.43 / $143.74
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.41 / $269.97 / $651.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.68 / $69.68 / $81.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.92 / $191.70 / $553.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.89 / $69.72 / $81.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.40 / $122.02 / $472.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.35 / $278.13 / $596.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.48 / $83.72 / $147.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.05 / $176.14 / $491.46